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    The Validation Breakthrough (Table of Contents)

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    Health Professions Press, an imprint of Paul H. Brookes Publishing Co., Inc.
    Table of Contents for The Validation Breakthrough, Third Edition.

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    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd

    The Validation Breakthrough (Table of Contents)

    Uploaded by

    Health Professions Press, an imprint of Paul H. Brookes Publishing Co., Inc.
    2K views5 pages
    Table of Contents for The Validation Breakthrough, Third Edition.

    Copyright

    © © All Rights Reserved

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    PDF, TXT or read online from Scribd

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    Table of Contents for The Validation Breakthrough, Third Edition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
    2K views5 pages

    The Validation Breakthrough (Table of Contents)

    Uploaded by

    Health Professions Press, an imprint of Paul H. Brookes Publishing Co., Inc.
    Table of Contents for The Validation Breakthrough, Third Edition.

    Copyright:

    © All Rights Reserved
    Download as PDF, TXT or read online from Scribd
    Download as pdf or txt
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    The document discusses techniques called Validation for communicating with those suffering from dementia in a way that acknowledges their reality and feelings. It aims to resolve distress without contradicting the person.

    The document describes cases of people suffering from different types of dementia like being maloriented, time confused or repetitive movers and discusses how their behavior is a form of communication of their underlying needs.

    The document recommends techniques like mirroring, following the person's lead, acknowledging their feelings and using simple, calm language when communicating with those who are maloriented to make them feel heard and supported.

    Contents

    About the Authors ................................................................................. xv


    Foreword to the Third Edition, by David Nilson .................................xvii
    Foreword to the Second Edition, by George M. Leader .........................xxi
    Preface, by Vicki de Klerk-Rubin ...........................................................xxiii
    Prologue, Florence Trew 18721963: I died, by Naomi Feil ...........xxvii
    Part I Alzheimers-Type Dementia and the
    Use of Validation............................................................ 1
    Chapter 1

    Aging, Development, and Alzheimers Disease ................ 3


    How I Learned: The Case of Isadore Rose:
    You Castrated Me with Words .................................... 3
    A Theory of Life Development and the
    Need for Validation ........................................................ 7
    Who Are the Old-Old and What Is Dementia? ........... 13
    The Old-Old, Dementia, and Human Needs ............... 18
    The Power of Empathy, by Cinzia Siviero ...................... 21

    Chapter 2

    The Concept and Techniques of Validation .................... 23


    What Is Validation? ..................................................... 23
    The Four Phases of Resolution .................................... 24
    The Principles of Validation ........................................ 29
    The Techniques of Validation ...................................... 31
    Using Mirroring to Make Contact,
    by Vicki de Klerk-Rubin ................................................... 42

    Chapter 3

    Using Validation with People Who Are Maloriented ..... 45


    The Case of Frances, the Accuser ................................. 45
    The Case of George, the Loner .................................... 47
    ix

    Copyright 2012 by Health Professions Press, Inc. All rights reserved.


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    x | Contents

    The Case of Jenny, the Gardener ................................. 49


    The Case of June, the Blamer ...................................... 52
    How to Read the Vital Signs of the Maloriented ........ 53
    Helping Techniques that Make the
    Maloriented Worse ...................................................... 57
    Validation Techniques for Communicating
    with the Maloriented ................................................... 58
    The Case of Mrs. Hara, by Fumie Inatani ...................... 62
    Chapter 4

    Using Validation with People Who Are Time


    Confused ......................................................................... 65
    The Case of Martha, the Birther .................................. 65
    How to Read the Vital Signs of the Time
    Confused ...................................................................... 69
    Helping Techniques that Make the Time
    Confused Worse ........................................................... 72
    Validation Techniques for Communicating
    with the Time Confused .............................................. 72

    Chapter 5

    Using Validation with People Who Are


    Repetitive Movers ............................................................ 77
    The Case of Marvin, the Pounder ............................... 77
    How to Read the Vital Signs of the
    Repetitive Mover .......................................................... 79
    Helping Techniques that Make Repetitive
    Movers Worse ............................................................... 81
    Validation Techniques for Communicating
    with Repetitive Movers ................................................ 81
    All Behavior Is Communication, by Rita Altman ......... 84

    Chapter 6

    Using Validation with People Who Are in


    Vegetation ....................................................................... 87
    The Case of Nora, the Nonmover ............................... 87
    How to Read the Vital Signs of People in
    Vegetation .................................................................... 89
    Validation Techniques for Communicating
    with People in Vegetation ........................................... 90
    Combining Validation with Sensitive Massage
    and Focused Touch, by Ann Catlin ............................... 92

    Chapter 7

    Using Validation with People with Early-Onset


    Alzheimers Disease ......................................................... 93
    The Case of Richard, the Mumbler ............................. 93
    How to Read the Vital Signs of People with
    Early-Onset Alzheimers Disease .................................. 95

    Copyright 2012 by Health Professions Press, Inc. All rights reserved.


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    Contents | xi

    Helping Techniques that Make People with


    Early-Onset Alzheimers Disease Worse ....................... 97
    Validation Techniques for Communicating with
    People with Early-Onset Alzheimers Disease ............. 97
    Luigia, a Wife: My First Experience with
    Validation, by Luigia Crippa .......................................... 99
    Chapter 8

    Who Benefits from Validation? .................................... 101


    The Benefits of Validation for Disoriented
    Old-Old People ........................................................... 101
    The Benefits of Validation for Professional
    Caregivers ................................................................... 103
    The Benefits of Validation for Families ..................... 105
    Validation: Seeing Is Believing, by Rita DAlfonso ...... 107

    Chapter 9

    How Validation Differs from Other Therapies


    Used with Old-Old People ............................................ 109
    Reminiscence ............................................................. 110
    Life Review ................................................................. 110
    Reality Orientation .................................................... 111
    Remotivation ............................................................. 112
    Behavior Modification ............................................... 113
    Diversion and Redirection ......................................... 115
    Patronizing with the Therapeutic Lie ........................ 116
    You Cant Fool Millie ................................................. 117
    A Reminiscing Group or a Validation Group?
    What Is the Difference? ............................................. 121
    Get Her Outta Here ................................................... 121
    Psychotherapy ........................................................... 123
    My Meeting with Mrs. Buchmann,
    by Christiane Grenenwald ........................................... 125

    Part II Validation in Practice ............................................. 127


    Chapter 10 Communicating with People Who Are
    Maloriented ................................................................... 129
    Ellen, the Hoarder: When You Listen,
    I Speak Clear ............................................................. 129
    Lucy, the Spitter: Bitch! Get Out of My Room! ..... 135
    Sadie, the Martyr: One Mother Has 10 Kids.
    Ten Kids Cant Care for One Mother! ....................... 139
    Peg, the Worrier: Theres a Man Under
    My Bed! .................................................................... 145

    Copyright 2012 by Health Professions Press, Inc. All rights reserved.


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    xii | Contents

    Stewart, the Complainer: Youre Killing


    Me Here! .................................................................... 152
    Chapter 11 Communicating with People Who Are Time
    Confused ....................................................................... 159
    David, the Toucher: I Am Not Dr. Willard:
    Hes on an Extended Holiday! ................................. 159
    Margaret, the Mother: Im Living in My Own
    Home, These People Dont Belong Here! ................ 166
    Harry, the Hitter: Come in, You Old Battle Ax! ..... 172
    Validating at Home: Karl, the Flasher ....................... 175
    Relieving the Fear, by Cinzia Siviero ............................ 179
    Chapter 12 Communicating with People Who Are
    Repetitive Movers .......................................................... 181
    Isobel, the Poet: I Untangle the Noodles in
    the Mirrors of My Mind ........................................... 181
    Mary, the Pacer: I Am Not a Sheep! ........................ 183
    The Wisdom of Disorientation, by Heidrun Tegeler .... 188
    Chapter 13 Communicating with Maloriented and Time
    Confused People Living in the Community ................. 191
    The Apartment House Manager, the Policeman, the
    Emergency Medical Squad, and Thomas Konig ........ 191
    The Mailman, the Grocery Clerk, the Hairdresser,
    and Millie Stonewall .................................................. 194
    The Doctor, the Meals on Wheels Volunteer, and
    Samuel Goode ............................................................ 199
    Chapter 14 Validating Family Members .......................................... 203
    Ann and Her Mother, Trudy ...................................... 203
    Validating a Family Member ...................................... 204
    Tips For Family Members Who Want to Validate
    Disoriented Relatives ................................................. 205
    Ann and Trudywith Validation .............................. 206
    Frequently Asked Questions About Validation ......................................... 209
    Part III Group Validation ................................................... 213
    Chapter 15 Setting Up Validation Groups ....................................... 215
    The Value of a Validation Group ............................... 215
    Who Benefits from Group Validation? ..................... 217
    The Role of the Validation Group Worker ............... 218

    Copyright 2012 by Health Professions Press, Inc. All rights reserved.


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    Contents | xiii

    The Role of the Validation Group Co-worker .......... 220


    Establishing a Validation Group ............................... 222
    Conducting a Validation Group Meeting ................ 230
    Example of a Validation Group ................................ 235
    Who Can Practice Validation? .................................. 239
    Appendix: Experiences of Professionals in the
    United States and Abroad .................................. 241
    Implementing Validation at Country
    Meadows Retirement Communities ......................... 241
    Using Validation as a Consultant in a
    Richmond, Virginia, Continuing Care
    Retirement Community ............................................ 245
    Using Validation in a 60-Bed Skilled Medicare
    Facility in the Kansas City Metropolitan Area:
    An Administrators Perspective ................................. 249
    Using Validation at a 422-Bed Veterans Home
    in Minneapolis, Minnesota ....................................... 253
    Using Validation at a Newly Purchased Facility
    in Maine .................................................................... 255
    Using Validation at an Urban Nursing Home
    in Brooklyn, New York .............................................. 259
    Using Validation in a 28-Bed Dementia Unit in
    Rural Wisconsin ........................................................ 261
    Using Validation at a Rural Nursing Home in
    Missouri ..................................................................... 265
    Using Validation at Eldercare in South Australia ..... 267
    Using Validation at the South Port Community
    Nursing Home in Australia ....................................... 271
    Using Validation at a University Hospital in
    France ........................................................................ 275
    Authorized Validation Organizations ................................................ 279
    References ........................................................................................... 283
    Index ................................................................................................... 285

    Copyright 2012 by Health Professions Press, Inc. All rights reserved.


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